Pulse Brain · Growing Health Evidence Index
Tier 3 — Observational / field trialPeer-reviewed

Less Invasive Mitral Surgery Versus Conventional Sternotomy Stratified by Mitral Pathology

Alexander P. Nissen, Charles C. Miller, Vinod H. Thourani, Young Woo, James S. Gammie, Gorav Ailawadi, Tom C. Nguyen

The Annals of Thoracic Surgery · 2020

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Summary

This 2020 observational study compared outcomes of minimally invasive mitral valve surgery with conventional sternotomy approaches, stratified by mitral pathology. The analysis appears to examine whether the benefits or risks of less invasive techniques differ between degenerative and functional mitral disease. The findings contribute to evidence on surgical technique selection for mitral valve interventions.

Regional applicability

Findings are relevant to UK cardiac surgery practice and may inform NICE guidance on appropriate surgical approaches for mitral pathology. However, applicability depends on whether UK surgical populations, training, and resource contexts match those in the studied cohort.

Key measures

Operative mortality, morbidity rates, hospital length of stay, transfusion requirements, and other perioperative outcomes by surgical approach and pathology type

Outcomes reported

The study compared clinical outcomes, morbidity, and mortality between less invasive mitral surgery and conventional sternotomy approaches, stratified by underlying mitral pathology (degenerative versus functional disease).

Theme
General food systems / other
Subject
Other / interdisciplinary
Study type
Research
Study design
Observational cohort
Source type
Peer-reviewed study
Status
Published
Geography
United States
System type
Human clinical
DOI
10.1016/j.athoracsur.2020.05.145
Catalogue ID
SNmoh9muzd-hkkzcr

Topic tags

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